It's a crazy, modern world. It'll leave you turned and twirled. But you'll make it if you just ask Pearl. James writes: "Hi, Pearl. Embarrassing question. But why do I have trouble maintaining an erection?" James, there is nothing embarrassing about that. Difficulty maintaining an erection is very common. Particularly for people over 40. But what's embarrassing is not talking about it. Nothing makes us ladies dry up faster than a male ego.

If you have diabetes, high cholesterol, or hypertension, arterial inflow problems are common. Another culprit that could affect blood flow is nerve injury from a pelvic or prostate surgery. Those surgeries can damage the nerves that control blood flow to the penis and cause ED and erection difficulties can also have roots in mental health, especially in younger people. If you're consistently stressed or anxious, the mental state needed to keep your erection can be lost and it may take your erection with it.

James, it's important to understand that erectile dysfunction is often the symptom of an underlying problem. The first step should be talk to your doctor to seek medical advice about your best options. Not all factors are within your control, but some are. There are some things that you can do right away that can help. Increasing your stamina, strength training, and improving your sleep habits.

These could all help your erections last longer. I hope that answers your questions, James.